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Course Details

Course Information
  • smart_display Format

    On-Demand

  • signal_cellular_alt Difficulty Level

  • work Practice Area

    Personal Injury and Med Mal

Date & Time
  • event Date

    Wednesday, October 26, 2022

  • schedule Time

    1:00 p.m. ET./10:00 a.m. PT

  • timer Program Length

    90 minutes

Credit Information

  • This 90-minute webinar is eligible in most states for 1.5 CLE credits.

$197.00
CLE
ALL

This CLE course will examine Colossus and similar claims adjustment software used by insurers to evaluate auto accident claims. The panelist, James Mathis--who implemented the program on which is the basis of TEACH (Total Evaluation and Claim Handling) and Colossus and taught Colossus to insurers--will discuss recent updates using artificial intelligence and recurring legal challenges, as well as offer best practices for obtaining higher settlement offers from insurance adjusters and defense counsel that rely on this software.

Faculty

James Mathis
President
Sequoia Visions, Inc

Mr. Mathis has over 32 years of professional experience in the insurance industry as an expert consultant on insurance claim handling issues. He has specific knowledge of insurance industry processes, procedures, manuals, memos, literature, claim handling practices, advertisements, electronic systems, computer maintained data, computer retrieval reporting, personnel guides, training guides and literature, trial defenses and discovery preparation. He is a staff lecturer on personal injury claim management for two law schools and an internationally sought speaker on claim practices and software. He is also an author of over 50 articles, treatises, and manuals.

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Description

More than 70 percent of all insurers use Colossus and similar software, including TEACH, to assess bodily injury claim values and limit defense settlement offers in auto accident claims. The largest U.S. insurer of automobiles, State Farm, uses the TEACH protocol, written by Mr. Mathis.

Plaintiff's counsel should understand how the software works, its limitations, and how it impacts insurer settlement offers to claimants. Plaintiff's counsel should also be knowledgeable about the other processes and software affecting settlement authority, such as the medical management software each insurer uses (Decision Point, Medico, MBRS, and its underlying database, Ingenix), and understand the significance of "active" versus "passive" treatment procedures.

Plaintiff's counsel today should also be sensitive to each insurer's claim practice procedure programs, including ACE (Advancing Claims Excellence), CCPR (Claim Core Procedure Review), ACME (Advancing Claim Management Excellence), MIST (Minor Impact Soft Tissue), and many others.

Counsel should examine controlling factors, such as the accuracy of all injury diagnoses and complete diagnoses, recognized complaints, and otherwise unaccounted pain and suffering damages. There are 10,720 value drivers; 17,000 severity drivers; and multipliers that increase the impact of these drivers in determining the settlement authority for each claim.

Listen as our authoritative panel guides personal injury counsel on Colossus and similar software and processes used by the insurance industry to evaluate claims. The panel will discuss legal challenges and offer best practices for obtaining higher settlement offers from insurance adjusters and defense counsel that rely on this software.

Outline

  1. Colossus-type software and programs explained
  2. Increase in the use of AI and its impact on claim analysis
  3. Clinical perspective
  4. Legal considerations and practical strategies for personal injury counsel

Benefits

The panel will review these and other critical issues:

  • How insurance adjusters use evaluation protocol to determine settlement offers
  • Types of injuries that have the most impact on the amount of a settlement offer and the types that are least likely to be included in the calculation
  • Identifying factors that increase the value of your client's case
  • Tips and techniques to use with adjusters that use Colossus-type evaluation software